Ocwen Short Sale Package PDF Details

Listed below are some information regarding ocwen short sale package. Before you decide to fill in the form, it is definitely worth learning a little more about it.

QuestionAnswer
Form NameOcwen Short Sale Package
Form Length7 pages
Fillable?Yes
Fillable fields222
Avg. time to fill out23 min 6 sec
Other namesocwen form payoff, ocwen short sale, ocwen loan modification form, ocwen loan modification application form

Form Preview Example

Ocwen Loan Servicing, LLC

1661 Worthington Road, Suite 100

West Palm Beach, FL 33409

WWW.OCWEN.COM

Toll Free: 800.746.2936

Helping Homeowners is What We Do! TM

 

 

 

Loan Number:

Important Application Information

To avoid delays, please make sure all pages are complete, accurate, and signed or initialed where indicated.

Send all forms and documents at ONE time, and send all pages of requested documents.

Keep a complete copy of what you send to us.

Be sure to initial, sign and date forms as indicated.

Where to Send Your Application

 

Fax or Email - for fastest processing

 

or

 

Regular Mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ocwen Loan Servicing

 

Fax: 407.737.6352

 

 

 

Attn: Home Retention Department

 

Email: rma@ocwen.com

 

 

 

1661 Worthington Road, Suite 100

 

 

 

 

 

West Palm Beach, FL 33409

Questions? Call us toll-free at 800.746.2936.

We are available Monday through Friday 8 am to 9 pm or Saturday 8 am to 5 pm ET.

OCWEN CUSTOMER HARDSHIP ASSISTANCE PACKAGE

 

SECTION 1

 

STATEMENT OF INTENTION

 

 

 

 

 

 

 

 

What are your intentions

KEEP (Modify)

 

 

GIVE BACK (Deed-in-Lieu)

SELL (Short Sale)

 

 

Regarding this property?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you have multiple properties with Ocwen, would

 

Yes

 

If Yes, list all associated loan numbers

 

 

you like to use these documents on those loans?

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 2

BORROWER INFORMATION FORM

Borrower(s) Name

Primary Borrower Name

Co-Borrower One Name

Co-Borrower Two Name

Social Security Number

Home Phone Number

Cell or Work Number

Email Address

Property Address:

Mailing Address: If same as Property Address, check here.

 

 

 

 

 

Have you filed for bankruptcy?

Yes

No

If yes

Chapter 7

Chapter 11

Chapter 12

Chapter 13

If yes, what is the filing Date:

 

Has your bankruptcy been discharged?

Yes

No

Bankruptcy case number:

 

 

 

 

 

 

 

 

 

 

Page 1 of 7

 

 

Ocwen Loan Servicing, LLC

1661 Worthington Road, Suite 100

 

 

 

West Palm Beach, FL 33409

 

 

 

 

WWW.OCWEN.COM

 

 

 

 

 

 

Toll Free: 800.746.2936

 

 

 

Helping Homeowners is What We Do! TM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loan Number:

 

 

 

 

 

 

 

 

 

 

SECTION 3

PROPERTY, OCCUPANCY AND RENTAL INFORMATION FORM

 

 

 

 

 

Do you occupy this property as a Primary Residence?

 

Yes

No

 

 

 

Have you been temporarily displaced and intend to

 

Yes

No

 

 

 

occupy this property as a Primary Residence?

 

 

 

 

 

 

 

 

 

Please briefly describe the reason for displacement. Please include whether or not any borrower is an active duty service member or a surviving spouse of a deceased service member who was on active duty at the time of death.

If you do NOT occupy the property, what is the total monthly rent or mortgage payment where you currently live? $

.00

 

 

 

 

 

Do you have any other debts or obligations secured by this

Yes

No

 

 

property (i.e. second mortgage, home equity loan, judgments

 

 

or liens)?

 

 

 

 

If Yes, please itemize these debts or obligations below:

 

 

 

Debt Obligations

Amount ($)

Do you own any other property?

Yes

No

How many?

. If yes, please complete the following items:

 

 

 

 

 

 

 

 

 

 

Other Property Address

Monthly Mortgage Payment

Rental Income Received

Is the Property Currently Vacant?

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

Yes

No

 

 

 

 

 

Yes

No

NOTE – Please attach a separate sheet of paper with details related to any additional properties, additional co-borrowers, or non-borrowers.

SECTION 4

HOUSEHOLD ASSETS AND EXPENSES FORM

 

 

 

 

 

Combined Assets

 

Monthly Expenses

 

 

Round all figures to the nearest dollar

 

Round all figures to the nearest dollar

 

Total $ in Checking Account(s)

$

 

Credit Cards/Installment Debt

$

 

Total $ in Savings Account(s)

$

 

Child support/ Alimony / Dependent Care

$

 

Money Market, Stock, Bonds & CD’s

$

 

Car and

$

 

Value/Amount

 

Auto/Food/Household/Utilities/Water/

 

 

 

 

 

 

 

 

Sewer/Phone Expenses

 

 

Estimated Value of Real Estate Owned

$

 

Homeowner Association Fees (HOA)

$

 

Other Cash on Hand

$

 

Other Loans (excluding Mortgage)

$

 

Other

$

 

Other

$

 

Assets TOTAL

$

.00

Expenses TOTAL

$

.00

Page 2 of 7

Ocwen Loan Servicing, LLC

 

 

 

1661 Worthington Road, Suite 100

 

 

 

 

 

 

West Palm Beach, FL 33409

 

 

 

 

WWW.OCWEN.COM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Toll Free: 800.746.2936

 

Helping Homeowners is What We Do! TM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Loan Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 5

 

 

MONTHLY INCOME FORM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ALL figures should represent the total amount received per month for that income category

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Primary Borrower Name

Co-Borrower One Name

 

Co-Borrower Two Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer Name*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Base Pay/Salary

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

(Monthly gross amount before deductions)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hire Date

 

 

|

 

 

 

|

 

 

 

 

 

|

 

 

 

|

 

 

 

 

 

|

 

 

|

 

 

 

 

 

 

 

MM

DD

 

 

YY

 

 

MM

DD

 

 

YY

 

 

 

MM

 

DD

 

 

YY

 

 

Weekly

 

 

Monthly

Weekly

 

Monthly

 

Weekly

 

Monthly

 

How often are you paid?

Every 2

 

 

Twice a

Every 2

Twice a

 

Every 2

 

Twice a

 

 

 

 

 

 

 

 

 

 

weeks

 

 

 

 

month

 

 

weeks

 

 

 

month

 

 

 

weeks

 

 

 

month

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Self-Employment Income

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unemployment Benefits

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Public Assistance/Food Stamps

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security Benefits

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disability Benefits: (check one)

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Less than 1 Year 1 Year or Greater

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supplemental Security Income (SSI)

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pensions, Annuities, or Retirement Plans

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alimony

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Child Support

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Monthly Gross Rental Income from all

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Properties

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Income – Examples:

$

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

Investment, Interest, Dividends,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total (Gross Income)

$

 

 

 

 

 

.00

 

$

 

 

 

.00

 

$

 

 

 

 

.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*If there are more than one employer, please provide additional information on a separate sheet.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 3 of 7

Ocwen Loan Servicing, LLC

1661 Worthington Road, Suite 100

West Palm Beach, FL 33409

WWW.OCWEN.COM

Toll Free: 800.746.2936

Helping Homeowners is What We Do! TM

Loan Number:

SECTION 6

HARDSHIP STATEMENT

 

Date hardship began (MM|YY): ________|________

The hardship is/was: Short-term (under 6 months) Medium-term (6-12 months) Long-term or permanent hardship (12 months +) Has the reason for the hardship been resolved? Yes No

Reason for Hardship

Documentation Needed

Check ALL that apply below and add description if needed

Documents to include with your application

Household income has declined

Reduction in hours with current employer

Current year

Prior Year

Expenses have increased

Cash reserves, including all liquid assets, are insufficient to maintain the current mortgage payment and cover basic living expenses at the same time.

Monthly debt payments are excessive and I am overextended with my creditors. Debt includes credit cards, home equity or other debt.

Death of primary or secondary wage earner

Divorce/separation

Disability or serious injury of a borrower or family member

*No documentation needed shall require providing detailed medical information.

Disaster (natural or man-made) adversely impacting my property or place of employment

Distant Employment Transfer/Relocation

Business failure

No hardship documentation required

No hardship documentation required

No hardship documentation required

No hardship documentation required

No hardship documentation required

Death Certificate OR

Obituary or newspaper article reporting the death

Divorce Decree copy signed by the court; OR

Separation Agreement copy signed by the court; OR

Current credit report copy evidencing divorce, separation, or non- occupying borrower has a different address

Proof of monthly insurance benefits or government assistance (if applicable); OR

Written statement or other documentation verifying Disability; OR

Doctor’s certificate of injury or Disability OR

Copies of Medical Bills

Insurance claim; OR

Federal Emergency Management Agency grant or Small Business loan;

OR

Borrower or employee property located in a Federally Declared Disaster Area

For active-duty Service members: Notice of Permanent Change of Station (PCS) or actual PCS orders.

For employment transfer/new employment:

Signed offer letter copy or notice from employer showing transfer to a new employment location: OR

Paystub from new employer; OR

If none above apply, provide written explanation

In addition to the above, documentation showing the amount of any relocation assistance provided, if applicable (not required for those with PCS orders).

Federal Tax Return from the previous year (including all schedules) AND

Proof of business failure supported by one of the following:

Bankruptcy filing for the business; OR

Two months recent Bank Statement for the business account evidencing cessation of business activity; OR

Most recent signed and dated quarterly or year-to-date Profit and Loss statement

Page 4 of 7

Ocwen Loan Servicing, LLC

1661 Worthington Road, Suite 100

West Palm Beach, FL 33409

WWW.OCWEN.COM

Toll Free: 800.746.2936

Helping Homeowners is What We Do! TM

Loan Number:

SECTION 6

HARDSHIP STATEMENT

I am unemployed and receiving benefits

I am/was receiving unemployment benefits from

______|______|________ to ______|______|________

Start Date ( MM|DD|YY )

End Date ( MM|DD|YY )

I am unemployed and NOT receiving benefits

Other Hardship(s) – describe below:

No hardship documentation required

No hardship documentation required

Written explanation describing the details of the hardship and relevant documentation. Space provided below.

Hardship Explanation (continue on a separate sheet of paper if necessary)

SECTION 7

INCOME DOCUMENTATION REQUIRED

ANY and ALL borrowers or Contributors must report and provide evidence of ALL income sources

IMPORTANT Avoid processing delays by providing COMPLETE documentation as described below.

Include ALL pages of any statements.

 

Income Record Type - Check all that apply

 

 

Documentation Required - Please provide for each borrower

 

 

 

 

 

 

 

 

 

 

 

1.

Complete, signed individual federal income tax return and, as applicable,

 

 

PROFIT AND LOSS STATEMENT

 

 

 

the business tax return, AND

 

 

 

 

2.

Either the last three monthly Profit and Loss Statements OR one for the most

 

 

{If Self-Employed}

 

 

 

recent quarter, OR copies of bank statements for the business account for the

 

 

 

 

 

 

last two months evidencing continuation of business activity.

 

 

 

 

 

3.

Include only business related gross/net income and itemized expenses.

 

BASE PAY – SALARY/HOURLY WAGE INCOME

 

Paystubs dated within 90 days which shows at least 30 days of Year-to-Date income.

UNEMPLOYMENT BENEFITS

 

Award letter showing the amount, frequency, and duration of benefits that have begun

 

or will begin in 60 days

 

 

 

 

 

 

 

 

 

 

 

 

PUBLIC ASSISTANCE & FOOD STAMPS; SOCIAL

 

 

 

 

 

 

SECURITY RETIREMENT, SURVIVORS, OR DISABILITY

 

 

Examples include exhibits, disability policy or benefits statement(s) from provider AND

 

 

 

 

 

 

BENEFITS; SUPPLEMENTAL SECURITY INCOME;

 

 

 

 

 

 

proof of receipt of payment (such as two most recent bank statements or deposit

 

 

WORKERS’ COMPENSATION; PENSIONS, ANNUITIES,

 

 

 

 

 

 

advice dated within 90 days)

 

 

OR RETIREMENT PLANS; AND/OR ADOPTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ASSISTANCE

 

 

 

 

 

 

 

 

1.

Copy of divorce decree, separation agreement, or other written legal agreement

 

 

 

 

 

filed with the court documents must show the amount of payments AND the

ALIMONY, CHILD SUPPORT, OR MAINTENANCE

 

 

period of time that you are entitled to payment(s) AND

2.

Copies of two most recent bank statements, deposit advices showing receipt of

 

PAYMENTS

 

 

payment, cancelled checks, or third party documentation dated within 90 days.

 

 

 

 

NOTE – Alimony, child support or separate maintenance income need not be disclosed if

 

 

 

 

it is not to be considered for repaying the mortgage debt.

 

 

 

 

1.

Copy of the most recent filed federal tax return with all schedules,

 

 

MONTHLY GROSS INCOME FROM RENTAL PROPERTIES

 

 

 

including Schedule E - Supplemental Income and Loss OR

 

 

 

 

2.

If rental income is not reported on Schedule E - Supplemental Income and Loss,

 

 

 

 

 

 

provide a copy of the current Lease Agreement (All pages) AND one bank

 

 

 

 

 

 

statement showing deposit of rent checks OR rent receipts.

 

Other Income - Investment, Interest Dividends,

 

Proof of payment receipt (such as a two most recent investment or bank statements or

 

deposit advice, dated within the last 90 days). Must include source, amount, and

 

Royalty, overtime, Bonuses, Commissions, Etc.

 

 

 

frequency.

 

 

 

 

 

 

 

 

 

 

 

Page 5 of 7

 

 

 

Ocwen Loan Servicing, LLC

1661 Worthington Road, Suite 100

 

 

 

 

West Palm Beach, FL 33409

 

 

 

 

WWW.OCWEN.COM

 

 

 

 

Toll Free: 800.746.2936

 

 

 

Helping Homeowners is What We Do! TM

 

 

 

 

 

 

 

 

 

 

 

Loan Number:

 

 

 

 

 

 

 

 

SECTION 8

 

NON-BORROWER Authorization

 

 

 

 

Complete if including income from a non-borrower (person(s) not on loan)

 

 

 

 

 

 

 

 

 

 

 

IMPORTANT - Ocwen cannot consider non-borrower income UNLESS this authorization form is completed.

A non-borrower is defined as someone who may live at the borrower’s primary residence, but is not on the original mortgage loan/note (and may or may

not be on the original security instrument), but whose income is used to support the mortgage payment or monthly expenses.

Note: Without these authorizations, non-borrower income cannot be considered, and may result in a delay in processing your application.

 

 

 

Non-Borrower 1

 

 

 

 

 

 

Non-Borrower 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Print Name

 

 

 

 

 

 

 

 

 

 

Print Name

 

 

 

 

 

 

 

 

Amount contributing towards the mortgage payment

 

 

 

Amount contributing towards the mortgage payment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I confirm that I contribute towards the mortgage payments and consent to the use of my contribution for the calculation of monthly income. I will also provide

any supporting documentation showing my monthly income as referenced in Section 7. I authorize and give permission to the Servicer and their respective

agents, to assemble and use a current consumer report if necessary as part of this assistance review. I understand that you may collect and record personal

information that I submit, including but not limited to my name, address, and income information. I understand and consent to the disclosure of my personal

informationSIGN

to third parties, including but not limited to, the Servicer and their respectiveSIGN agents, successors, and assigns, any investor, insurer, guarantor,

stateHEREHFA or any HUD-certified housing counselor.

 

 

HERE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

|_ |_

 

 

 

 

 

 

 

 

|_ |

 

 

 

 

 

 

Non-Borrower 1

 

 

 

Date(MM|DD|YY)

 

 

 

 

Non-Borrower 2

 

 

Date(MM|DD|YY)

 

 

 

Signature

 

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 9

 

 

BORROWER /CO- BORROWER ACKNOWLEDGEMENT AND AGREEMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I certify, acknowledge, and agree to the following:

1.All of the information in this Request for Mortgage Assistance is truthful and the hardship that I have identified contributed to my need for mortgage relief.

2.The accuracy of my statements may be reviewed by the servicer, owner or guarantor of my mortgage, their agent(s), or an authorized third party, and I may be required to provide additional supporting documentation. I will provide all requested documents and will respond timely to all servicer or authorized third party communications. An authorized third party may include, but is not limited to, those outlined in the Authorization to Release Information, a counseling agency, Housing Finance Agency (HFA) or other similar entity that is assisting in obtaining mortgage assistance.

3.Knowingly submitting false information may violate Federal and other applicable law.

4.If I have intentionally defaulted on my existing mortgage, engaged in fraud or misrepresented any fact(s) in connection with this request for mortgage assistance or if I do not provide all required documentation, the servicer may cancel any mortgage assistance offer granted and may pursue foreclosure on my property and/or pursue any available legal remedies allowable under federal and state law.

5.The servicer is not obligated to offer me assistance based solely on the representations in this document or other documentation submitted in connection with my request.

6.I may be eligible for a trial period plan, repayment plan, or forbearance plan. If I am eligible for one of these plans, I agree that:

a . A l l the terms of this Acknowledgement and Agreement are incorporated into such plan by reference as if set forth in such plan in full.

b.My first timely payment under the plan will serve as acceptance of the terms set forth in the notice of the plan sent by the servicer.

c.The servicer's acceptance of any payments under the plan will not be a waiver of any acceleration of my loan or foreclosure action that has occurred and will not cure my default unless such payments are sufficient to completely cure my entire default under my loan.

7.Payments due under a trial period plan for a modification will contain escrow amounts. If I was not previously required to pay escrow amounts, and my trial period plan contains escrow amounts, I agree to the establishment of an escrow account and agree that any prior waiver is revoked. Payments due under a repayment plan or forbearance plan may or may not contain escrow amounts. If I was not previously required to pay escrow amounts and my repayment plan or forbearance plan contains escrow amounts, I agree to the establishment of an escrow account and agree that any prior escrow waiver is revoked.

8.A condemnation notice has not been issued for the property.

9.The servicer or authorized third party may obtain a current credit report on all borrowers obligated on the Note.

Page 6 of 7

Ocwen Loan Servicing, LLC

1661 Worthington Road, Suite 100

West Palm Beach, FL 33409

WWW.OCWEN.COM

Toll Free: 800.746.2936

Helping Homeowners is What We Do! TM

Loan Number:

SECTION 9

BORROWER /CO- BORROWER ACKNOWLEDGEMENT AND AGREEMENT

10.The servicer and its respective agents, successors, and assigns or authorized third party will collect and record personal information that I submit in this Request for Information and during the evaluation process, I am authorizing these respective parties to obtain, share, release, discuss, and otherwise provide to and with each other public and non-public personal information contained in or related to the mortgage loan including, but not limited to the evaluation of this assistance application. This personal information contained in or related to the mortgage loan including but not limited to the evaluation of this assistance application. This personal information may include, but is not limited to: (a) my name, address, telephone number, (b) my Social Security Number, (c) my credit score/credit report,

(d)my income, and (e) my payment history and information about my account balances and activity. I understand and consent to the servicer or authorized third party, as well as any investor or guarantor (such as Fannie Mae or Freddie Mac), disclosing my personal information and the terms of any relief or mortgage assistance that I receive to the following:

a.Any investor, insurer, guarantor, or servicer that owns, insures, guarantees, or services my first lien or subordinate lien (if applicable) mortgage loan(s) or any companies that perform support services for them,

b.State HFA or any HUD-certified housing counselor, and

c.The authorization includes but is not limited to any parties listed below.

Counseling Agency

 

Other Third Party viz. Authorized Agent/ Realtor/ Broker

 

 

 

Agency/ Third Party Contact Name & Phone Number

 

Agency/ Third Party Email Address

In addition to this financial statement and its attachments, there may be times when additional information is needed to review the situation thoroughly and my information may be provided to complete the review, such as (a) Ordering credit reports, (b) verifying bank accounts in this disclosure, and (c) obtaining any other information necessary to properly analyze this request.

BY SIGNING BELOW I UNDERSTAND AND AGREE WITH THE TERMS OF THIS AUTHORIZATION TO RELEASE INFORMATION

11.I consent to be contacted concerning this request for mortgage assistance or any other loan related matter at any telephone number,

including mobile telephone number, or email address I have provided to the lender/servicer/or authorized third party* by checking this box, I also consent to being contacted by text messaging.

SIGN

_____________________________

_____|_____|_____

SIGN

_____________________________

_____|_____|_____

HERE

HERE

 

 

 

 

 

Primary Borrower Name

Date (MM|DD|YY)

 

Co-Borrower One Name

Date (MM|DD|YY)

 

Signature

 

 

 

 

 

 

Signature

 

SIGN

_____________________________

_____|_____|_____

HERE

 

 

 

Co-Borrower Two Name

Date (MM|DD|YY)

 

 

 

Signature

 

*An authorized third party may include, but is not limited to, a counseling agency, Housing Finance Agency (HFA) or other similar entity that is assisting me in obtaining a foreclosure prevention alternative.

Page 7 of 7

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